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General NPI Number Information
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NPI Number | 1043305493
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Entity Type | Individual
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Provider Name | KRISTIN GAIL FLESS M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 94 OLD SHORT HILLS RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5672
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Country | US
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Telephone | 973-322-2924
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Fax | 973-322-8410
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Provider Business Mailing Address
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Address Line | 164 GLENVIEW RD
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-1136
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Country | US
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Telephone | 973-763-6384
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Fax | 973-763-6173
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 25MA06455300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 25MA06455300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 25MA06455300
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License Number State | NJ
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